Practical Research on the Teaching of "Medical Interpersonal Communication" Integrate into the Red Doctor’s Spirit for Students Majoring in Public Health Management / 中国医学伦理学

The red doctor’s spirit is an important spiritual guidance for the cultivation of medical talents during the development of medical and health services in China. The teaching reform, which is oriented towards position competence, requires that students majoring in public health management should not only master solid medical knowledge and professional skills, but also possess an ability to handle medical public relations, such as shaping an excellent image of the organization, improving the medical interpersonal communication, and managing public relations crisis. Under the guidance of inheriting the red gene and innovating the medical education, the driving force of learning should be "serving the people to improve their health" led by "political firmness" , the learning goal "striving for perfection" inspired by "excellent technology" , and the working criterion "respecting patients, involving full participation and shouldering public responsibility" embodied in "making selfless dedication and helping the wounded and dying" . The article based on the characteristic culture of red medicine in the Air Force Medical University, applied the teaching method of role-playing case simulations to explore the teaching practice road of "theory-experience-practice-reflection" .

Research on the Relationship between Metacognition and Self-directed Learning Ability of Undergraduate Nursing Students: A Moderated Mediation Model / 中国医学伦理学

【Objective:】 To explore the effect of metacognition on self-directed learning ability of undergraduate nursing students, and the role of interpersonal communication ability and sense of self-worth between them. 【Methods:】 A total of 905 undergraduate nursing students from six colleges and universities in Shaanxi were selected as the survey subjects by convenient sampling method during August to November 2022. Metacognitive Assessment Inventory, Self-Directed Learning Ability Measurement Scale for Nursing Students, Adolescent Sense of Total Self-Worth Scale, and Supportive Communication Scale were used to conduct a questionnaire survey on undergraduate nursing students. SPSS 25.0 software was used for statistical analysis of the data. 【Results:】 Finally, 854 valid questionnaires (94.36%) were collected, and the results showed that: a) Metacognition of undergraduate nursing students significantly positively predicted self-directed learning ability (β=0.172, P<0.001). b) Interpersonal communication ability played a partial mediating role between metacognition and self-directed learning ability [β=0.019, 95%CI: 0.004~0.034)] . c) The predictive effect of metacognition on self-directed learning ability was regulated by the level of self-worth (R2=0.314, P<0.001). 【Conclusion:】 This paper indicated that the metacognition of undergraduate nursing students indirectly affects their self-learning ability through interpersonal communication ability, and their sense of self-worth plays a moderating role. It is recommended to improve the metacognitive level of undergraduate nursing students, strengthen their interpersonal communication skills, and focus on the cultivation of self-worth, so as to improve their self-directed learning ability.

Níveis de tendência empreendedora e de competência de comunicação interpessoal de estudantes do Curso Superior de Tecnologia em Gestão Hospitalar / Levels of Entrepreneurial Tendency and of Interpersonal Communication Competence of Students in an Associate Degree in Hospital Management Course

O objetivo deste estudo foi identificar a tendência empreendedora e o nível de competência de comunicação interpessoal de estudantes do Curso Superior de Tecnologia (CTS) em Gestão Hospitalar. Foi realizado um estudo transversal, de natureza quantitativa, multicêntrico, que congregou duas das quatro instituições federais que ofertam o Curso no Brasil. A coleta de dados aconteceu de forma online, em julho de 2021, a partir de formulário eletrônico composto por três seções: caracterização dos participantes; Teste de Tendência Empreendedora Geral (TEG); e Escala de Competência em Comunicação Interpessoal (ECCI). Utilizou-se estatística descritiva e inferencial para a análise dos dados. A amostra foi composta por 142 estudantes, com idade média de 26,65 (±8,8) anos, prevalência de mulheres (109; 76,8%) e de estudantes que cursaram o ensino médio totalmente em escola pública (95; 66,9%). A dimensão do TEG com melhor desempenho foi "Impulso e Determinação", com média 9,08. Nas dimensões "Tendência Criativa" e "Propensão a Riscos Calculados" nenhum participante obteve a pontuação máxima. Quanto à ECCI, a média total (65,10) revelou um bom nível de competência em comunicação interpessoal. A maior média obtida foi no domínio "Autorrevelação", enquanto a menor foi do domínio "Manejo das Interações". Elucidou-se um nível muito baixo de tendência empreendedora geral e um bom nível de competência em comunicação interpessoal nos estudantes do CTS em Gestão Hospitalar, o que revela caminhos possíveis para a melhoria na educação empreendedora deste curso.

The objective of this study was to identify the entrepreneurial tendency and the level of interpersonal communication competence of students of the associate degree in Hospital Management (HM) course. A cross-sectional, quantitative, multicenter study was carried out, which brought together two of the four federal institutions that offer the course in Brazil. Data collection took place online, in July 2021, using an electronic form consisting of three sections: characterization of participants; the General measure of Enterprising Tendency (GET) test; and the Interpersonal Communication Competency Scale (ICCS). Descriptive and inferential statistics were used for data analysis. The sample consisted of 142 students, with a mean age of 26.65 (±8.8) years old, and a prevalence of women (109; 76.8%) and of students who attended high school entirely in the public school system (95; 66.9%). The GET dimension with the best performance was "Impulse and Determination", with an average of 9.08. In the dimensions "Creative Tendency" and "Propensity toward Calculated Risks", no participant obtained the maximum score. As for the ICCS, the total average (65.10) revealed a good level of competence in interpersonal communication. The highest average obtained was in the "Self-disclosure" domain, while the lowest was in the "Interaction Management" domain. A very low level of general entrepreneurial tendency and a good level of competence in interpersonal communication in the students of the HET course in Hospital Management were elucidated, which reveals possible ways to improve the entrepreneurial education of this course.

Cultivation of interpersonal communication ability for residents via emotional quotient education in the standardized residency training / 中华医学教育探索杂志

Objective:To analyze the relationship between each dimension of emotional intelligence and interpersonal communication ability, and explore how to improve the interpersonal communication ability of residents through targeted emotional intelligence training.Methods:A total of 132 first-year residents of clinical medicine in the residency training base were jointly measured with emotional intelligence and interpersonal communication evaluation scale on the basis of self-assessment and grading. The differences between groups in self-assessment and grading were detected by one-way ANOVA, and the relationship between various dimensions of emotional intelligence and interpersonal communication ability was explored by correlation analysis and multiple linear stepwise regression analysis. SPSS 19.0 was used to conduct statistical analysis.Results:The self rating scale clearly divided the subjects into three levels. In the total score of emotional intelligence and its various dimensions, the differences between the three levels were statistically significant; the scores of the "good" group were higher than those of the "fair" group and the "slightly insufficient" group. There were statistical significance in the total score of emotional intelligence ( P<0.001) and its emotional perception ( P<0.001), self emotional management ( P<0.001), others' emotional management ( P<0.001) and emotional utilization ( P<0.001). In the total score of interpersonal communication ability and its various dimensions, the differences among the three levels were statistically significant. In the conflict management, the difference between the "good" group and the "fair" group was not statistically significant, and the differences in other items were statistically significant. The total score of emotional intelligence and its dimensions were positively correlated with interpersonal communication ability ( P<0.001), but the two dimensions that had the most significant impact on interpersonal communication ability were emotional perception and others' emotional management ( R2=0.531, P<0.001). Conclusion:By focusing on the cultivation of each dimensions of emotional perception and other emotional management for residents, it is expected to play a positive role in achieving the national goal of cultivating interpersonal communication skills.

Research progress on the core competence of head nurses / 中国基层医药

With the rapid development of economy and society and the progress of health care,the requirements of the head nurses＇core competence are also changing.The head nurse,as the manager of nursing work ,has gradually raised the requirements on the head nurse in the new era.The development of core competence is the basic requirement of the head nurse,which is of vital importance to the development of the head nurse.This paper introduces the requirements of head nurse ,the role of head nurse,the core competence of head nurse and the methods to cultivate the core competence of head nurse in the new era.

The Effects of Action-Learning based Simulation Practice Program on Interpersonal Communication Competence and Problem Solving Ability of the Nursing Students / 의료커뮤니케이션

PURPOSE: The purpose of this study was to investigate the effects of a action-learning based simulation practice program on nursing students' interpersonal communication competence and problem solving ability.METHOD: The action-learning based simulation practice program was developed by using the ADDIE mode. A single group pre-post test and time series design was used. Data was collected from senior in nursing university. 89 students participated in pretest group and 116 students participated in posttest group.RESULTS: Interpersonal communication competence and problem solving ability were significantly higher in posttest group than pretest group.CONCLUSION: Action-learning based simulation practice program is an effective teaching strategy to enhance communication competence and problem solving ability.

Investigation on Interpersonal Communication of Preparatory Students in One Xinjiang Medical College / 中国医学伦理学

Objects:To investigate the current situation of interpersonal communication inpreparatory students in one Xinjiang medical college from the exchanges between students.Methods:Using self-developed questionnaire,a survey was conducted among 200 preparatory students and depth interviews were conducted for typical cases.Results:Preppies showed a strong willing of interpersonal communication.In the process of students' interaction,some features were presented as followings:pure motives but dissimilarity,narrow range of interactions,lack of interaction ability and the single form of social activities.Conclusion:Based on the above current situation of interpersonal communication in preparatory students,it should enhance the language application ability of preparatory stage,change the idea and attach importance to the education of humanistic quality in preparatory education and train preppy's expression and listening art.

La comunicación en el primer nivel de atención de salud / Communication in the health care first level

La atención primaria de salud tiene la misión de alcanzar un adecuado estado de bienestar físico, mental y social en personas, familias y comunidades, con una amplia participación de actores sociales, tanto intra como extra sectoriales, a través de acciones, entre ellas, la promoción y prevención, donde están establecidos diferentes programas, con un factor fundamental para su desarrollo: la comunicación. Esta implica para los actores intrasectoriales (médico, enfermera de la familia y el resto del grupo básico de trabajo) la necesidad de tomar medidas para alcanzar el desarrollo y habilidades necesarias en los aspectos de las formas, niveles y vías de comunicación, que coadyuvarán con el nivel de influencia que ejercen en las personas, las familias y las comunidades al logro de educar, informar, convencer y explicar sobre comportamientos individuales y sociales saludables. Estos comportamientos proporcionan a las personas, familias y comunidades las ventajas y elementos necesarios para mejorar su calidad de vida y prevenir enfermedades, además del alcance de objetivos, metas y aspiraciones del resto de las organizaciones, sectores e instituciones que inciden en la salud y la calidad de vida.

Primary health care has the mission of reaching an adequate status of physical, mental and social welfare in persons, families and communities with a wide participation of social actors, both intra and extra sector ones, through actions like promotion and prevention, where different programs are established with a main factor for their development: communication. For the intra sector actors (family physician and nurse and the rest of the basic work group) it implies the necessity of taking measures to reach the necessary development and skills in the aspects of the communication forms, levels and ways, contributing to the level of influence exerted on persons, families and communities to educate, inform, convince and explain on the topic of healthy individual and social behaviors. These behaviors give persons, families and communities the advantages and necessary elements for improving their life quality and preventing diseases, besides reaching aims, goals and aspirations of the rest of the organizations, sectors and institutions influencing on health and life quality.

Uma medida da percepção pessoal de comunicação grupal sobre objetos sociais / A measure of the personal perpection of in-group communication about social objects

O objetivo deste estudo foi construir uma medida da comunicação grupal sobre objetos sociais. Elaborou-se um instrumento e buscaram-se, para duas temáticas, evidências de validade. Participaram 803 estudantes universitários. Para ambos os temas, o instrumento mostrou-se adequado à estrutura teórica de três fatores: frequência da comunicação; importância da opinião do grupo; semelhança de opinião com o grupo. Além de apresentar índices satisfatórios de precisão, o instrumento discriminou participantes com alta e baixa identificação pessoal com o objeto social. Considera-se a medida adequada a aferir a comunicação grupal e passível de adaptação para outros grupos e objetos

The aim of the study was to create a measure of group communication on social objects. An instrument was elaborated, and validity evidence was sought for two topics. The participants were 803 undergraduate students. For both topics, the instrument was adequate to the theoretical structure of three factors: communication frequency; importance of group opinion; similarity with group opinion. Other than presenting satisfactory indexes and precision, the instrument discriminated participants with high and low personal identification with the social object. The measure is considered suitable to assess group communication and capable of adaptation to other groups and objects

Interpersonal communication and contraception: Insights and evidences from Bangladesh demographic and health survey, 2011.

This paper examines the role of exposure to mass media and interpersonal communication in predicting the current use of contraception in Bangladesh. Bivariate and multivariate analyses were carried out using the Bangladesh Demographic and Health Survey (BDHS), 2011 data to explore the association between communication and the current use of contraception. After adjusting the related socioeconomic and demographic factors, the mass media did not seem to have any role in predicting contraceptive use behavior while the findings revealed that interpersonal communication [prevalence ratio (PR): 1.0984, 95% confidence interval (CI) 1.0801-1.1170] is a strong positive predictor of the current contraceptive use. It is a well-known fact that mass media performs only the knowledge function while interpersonal communication performs an additional function of persuasion. This analysis corroborates the statement that the role of interpersonal communication is quite important in predicting contraceptive use.

Non-compliance to Antiretroviral Therapy:Road Blocks and Possible Solutions.

A hospital based interventional study was done at Anti Retroviral Therapy centre (ART) of SMS Medical College during August 2010 to January 2011 with the objectives of finding out the proportion of patients who did not adhere to ART, its associated factors, reasons for non-compliance and determine the effect of reinforced counselling through interpersonal communication addressing patient specific reasons and solution for increasing compliance. There were 2841 HIV patients on ART during study period and on an average 381 (13%) of them did not adhere to ART. Age, literacy, unemployment, presence of co-infections were significantly associated with non-compliance while marital status, sex of patient, area of living, family size, distance from ART centre and type of ART regime were not associated with non-compliance. Reasons stated for not coming to collect drugs or not consuming them were mainly patients were travelling, forget to take the pills, no one was there to accompany them, no money for fare, busy in agriculture or other day to day activities. 100 randomly selected non-compliant patients were offered reinforced counselling with focus on patient specific reasons for non compliance and with an intention to encourage the patients to come up with solutions in prevailing circumstances. 74 patients started taking drugs regularly at the end of study. One patient out of these hundred died during study period.

Concordance between Self and Standardized Patient Ratings of Medical Students' Communication Skills / 한국의학교육

PURPOSE: The purpose of this study was to examine the concordance between self and standardized patient (SP) ratings of medical students' communication skills. METHODS: Forty-three students interviewed SPs. The students were asked to complete a communication skills questionnaire that comprised 2 measures (empathy and interpersonal communication) before the interview. After each student's interview with the SP, the latter completed the same questionnaire as the students. RESULTS: Based on Lin's concordance coefficient, there was strong disconcordance between students' self-ratings and the SPs' ratings. With regard to empathic communication, more than 50% of students who considered themselves higher than middle level were regarded by SP as low level. On interpersonal communication, 39% of students who assessed themselves as higher than middle level were scored low level by SPs. CONCLUSION: There was strong disconcordance between students' self-ratings and the SPs' ratings-students tended to overevaluate themselves regarding their communication skills. These differences might result in patient dissatisfaction and noncompliance. Further, it could become a serious hindrance to the development of a good doctor-patient relationship. Medical educators should make sincere efforts to reduce this gap by teaching medical students the importance of the patients' perception of his doctors' communication skills.

El impacto de la comunicación interpersonal en la motivación del personal hospitalario

Debido a los cambios que tienen lugar en este momento en el sector sanitario, los hospitales deben promocionar la comunicación interpersonal como una herramienta que garantiza la motivación y el compromiso profesional de los empleados con el hospital, especialmente en el caso del personal médico y de enfermería. Los tres principales campos de acción en los que la comunicación interpersonal puede mejorar el nivel de motivación de los empleados de un hospital son: a) la transmisión interna de la cultura corporativa; b) las acciones de investigación que tienen por objetivo estudiar el comportamiento y las expectativas de los pacientes; y c) la búsqueda de colaboradores externos que permitan a los empleados del hospital mejorar sus capacidades profesionales (por ejemplo, a través de la realización de ensayos clínicos).

Due to the changes that are taking place in the health system nowadays, hospitals should foster the implementation of interpersonal communication as a tool to promote the employee´s motivation and professional commitment with their hospital, especially among the doctors and the nurses. The three main action fields in which interpersonal communication could enhance the grade of the hospital employees´ motivation are: a) internal transmission of the corporate culture; b) investigation actions with focus on the patient´s behavior and expectations; and c) external partnerships with the aim of supporting the employee´s professional activities (e.g. across the execution of clinical trials).

Research on the Frustration of Interpersonal Communication of Students from Divorced Families / 中华医学教育探索杂志

With the change of people's concept of marriage and family changes,the divorce rate of our country has presented an obvious rising tendency,thus students from divorced family have become a large group gradually.The study focuses on the passive effects that divorced family have on the interpersonal communication of student from these families and analyzes the reasons and puts forward the countermeasures of the problem.

Interpersonal Attribution Style of Female Students of Nursing School and Medical School / 中国心理卫生杂志

Objective:To investigate the interpersonal attribution style of the baccalaureate nursing female students(BNFS)and to explore the difference of attribution style between the female students majoring in clinic medicine and nursing.Methods:A cross-sectional study was carried out by using the Interpersonal Relationship Subscale of Multidimensional-Multiattributional Causality Scale by Lefcourt et al. 500 college female students,from clinic medicine and nursing science of Central South University Xiangya School of Medicine, were recruited by using stratified random sampling.Results:The higher Grade, the higher Interpersonal Relationship Attribution Score (IRAS) of BNFS(44.7?7.8~50.8?9.5,45.9?8.0~51.2?7.9). There was no statistical difference in IRAS of the female students majoring in clinic medicine and nursing science (P=0.15～0.81), but the different Grades had statistical difference in IRAS(P

Interpersonal Interaction of Junior High School Students and its Relationship with Self-Consciousness / 中国临床心理学杂志

Objective: To study the interpersonal interaction of junior high school students and its relationship with self-consciousness. Methods: 265 junior high school students were given the measurement of interpersonal relationship, and administered the questionnaire of Piers-Harris children self-consciousness one week later. Results: ①The interpersonal relationship of junior high school students was interactive. ②There were statistically significant differences among some dimensions of self-consciousness of junior high school students of different grades and genders. ③Intellgence and school performance had important effect on personal acceptance of junior high school students. Conclusion: There is interpersonal interaction among junior high school students, and intelligence and school performance influence the personal acceptance significantly.

Interpersonal Attribution Style and Self-efficacy of Female Students of Nursing School / 中国临床心理学杂志

Objective:To investigate the interpersonal attribution style,self-efficacy of the baccalaureate female nurs-ing students(BFNS) and to explore the relationship between attribution style and self-efficacy.Methods:113 BFNS from Hainan Medical College were investigated by the Interpersonal Relationship Subscale of Multidimensional-Multiattribu-tional Causality Scale by Lefcourt et al and the General Self-Efficacy Scale(GSES) by Ralf Sehwarzer.Results:The Inter-personal Relationship Attribution Score(IRAS) of BFNS was 41.02?11.38.There was no statistical difference in IRAS be-tween two grades(t=0.899,P=0.371).The BFNS's attribution sequence was ranked as effort,fortune,ability,and back-ground under the condition of interpersonal communication success;while it was fortune,ability,effort,background under the condition of failure.There was statistically significant difference between scores of GSES and the normal(t=-10.212,P= 0.000).Pearson correlation analysis showed that there were positive correlations between the self-efficacy and interperson-al attribution style.Conclusion:When the female nursing students' behavior is successful,there is show more tendency to internal attribution.On the contrary,when they fail,there is more tendency to external attribution.Self-efficacy interacts with interpersonal attribution style.